Provider First Line Business Practice Location Address:
5427 HIGHWAY 49 S
Provider Second Line Business Practice Location Address:
ROCKY RIVER PEDIATRICS
Provider Business Practice Location Address City Name:
HARRISBURG
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28075-7408
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-455-5565
Provider Business Practice Location Address Fax Number:
704-455-6225
Provider Enumeration Date:
07/17/2009